ADAM THEODORE BLASI Respiratory Care Practitioner License verification

Business Entity

NOT RENEWED

License Type

Respiratory Care Practitioner

Description

RESPIRATORY CARE PRACTITIONER

License Number

194007900

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

THEODORE

Last Name

BLASI

Business Name

ADAM THEODORE BLASI

Original Issue Date

07/30/2009

Effective Date

11/01/2017

Expiration Date

10/31/2019

City

TREVOR

State

Zip

53179

County

WISCONSIN

Ever Disciplined

LastModifiedDate

06/25/2025